PINE HAVEN REHABILITATION AND WELLNESS CENTER

4525 ST STEPHENS ROAD
EIGHT MILE, AL 36613

πŸ“ž 2514520996
For profit - IndividualNORBERT BENNETT & DONALD DENZ172 certified beds~145 residents/day

4525 ST STEPHENS ROAD, EIGHT MILE, AL

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CMS Five-Star Ratings

Source: CMS Provider Data Catalog. Ratings updated monthly.

Overall Rating

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Composite of health inspections, staffing, and quality measures

Health Inspections

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Based on results of onsite inspection surveys

Staffing

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Nurse staffing levels relative to resident census

Quality Measures

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Clinical quality metrics from resident assessments

Staffing Data

Higher staffing hours = better care outcomes. RN turnover over 40% is a warning sign.

Total Nurse Hours / Resident / Day

3.22 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

0.43 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

31%

Warning if >40%

Total Nurse Turnover

44%

Warning if >50%

Inspection Deficiency Citations

Recent citations from CMS health inspections. Severity A–F = no resident harm. G–L = resident harm occurred.

F0600DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Inspection: 2024-05-31Corrected: 2024-07-05
F0561DResident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Inspection: 2022-10-19Corrected: 2022-11-23
F0580DResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection: 2022-10-19Corrected: 2022-11-23
F0584EResident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Inspection: 2022-10-19Corrected: 2022-11-23
F0641DResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Inspection: 2022-10-19Corrected: 2022-11-23
F0644DResident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Inspection: 2022-10-19Corrected: 2022-11-23
F0656DResident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Inspection: 2022-10-19Corrected: 2022-11-23
F0657DResident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Inspection: 2022-10-19Corrected: 2022-11-23
F0695DQuality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Inspection: 2022-10-19Corrected: 2022-11-23
F0842DResident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Inspection: 2022-10-19Corrected: 2022-11-23
F0641DResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Inspection: 2021-06-08Corrected: 2021-07-09
F0677DQuality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Inspection: 2021-06-08Corrected: 2021-07-09
F0684DQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Inspection: 2021-06-08Corrected: 2021-07-09
F0757DPharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Inspection: 2021-06-08Corrected: 2021-07-09
F0761FPharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Inspection: 2021-06-08Corrected: 2021-07-09
F0773DAdministration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Inspection: 2021-06-08Corrected: 2021-07-09
F0925FEnvironmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Inspection: 2021-06-08Corrected: 2021-07-09
F0558DResident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Inspection: 2019-04-11Corrected: 2019-05-16
F0580DResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Inspection: 2019-04-11Corrected: 2019-05-16
F0623DResident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Inspection: 2019-04-11Corrected: 2019-05-16

About This Data

All data is sourced directly from the CMS Provider Data Catalog (data.cms.gov) and updated every month. NursingHomeUSA receives no compensation from this facility.

CMS Provider Number (CCN): 015183

Medicare approved: 1978-05-01

Quick Facts

Certified beds172
Avg residents/day145
OwnershipFor profit - Individual
ChainNORBERT BENNETT & DONALD DENZ
Abuse alertNo
Special Focus (SFF)No

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